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General NPI Number Information
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NPI Number | 1245733427
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Entity Type | Organization
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Legal Business Name | NURTURE DENTAL HEALTH PC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 240 CETRONIA RD STE 121SOUTH
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 610-841-5929
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Fax | 610-841-5124
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Provider Business Mailing Address
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Address Line | 240 CETRONIA RD STE 121S
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City | ALLENTOWN
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State | PA
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Zip | 18104-9263
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Country | US
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Telephone | 610-841-5929
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Fax | 610-841-5124
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Authorized Official
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Title or Position | PRESIDENT
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Name | VANAEYAH TRAN
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Credential | DMD
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Telephone | 717-215-5369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS039142
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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